PREVALENCE AND DETERMINANTS OF USE OF MODERN HEALTH FACILITIES FOR DELIVERY BY NIGERIAN WOMEN

Oni, G.A. and Fasina, Fagbeminiyi (2017) PREVALENCE AND DETERMINANTS OF USE OF MODERN HEALTH FACILITIES FOR DELIVERY BY NIGERIAN WOMEN. International E-Journal of Advances in Social Sciences, III (8). pp. 558-562.

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Abstract

Delivery is potentially a hazardous process as most maternal mortality occurs during delivery. Utilization of maternal health services offered by institutional or modern health facilities is known to be associated with decrease in maternal, neonatal and infant mortality rates because health facility delivery affords the woman the attendance of skilled or professional health personnel at childbirth. Yet many women in the developing countries including Nigeria still deliver outside health facilities, particularly at home without professional attendance, risking survival of both the mother and the baby. Nigeria is one of the countries of the world that have the highest maternal, infant and child mortality rates. It is also one of the countries with low use of health facilities for delivery. In 1999, only 37.3% of mothers in the country delivered in health facilities (NDHS, 1999), and in 2003 only 32.6% delivered in health facilities (NDHS 2003). Identifying the factors affecting the use of modern health facilities for delivery is essential for appropriate policies and programs that can help to increase health facility utilization for delivery and thereby decrease maternal and infant mortality in Nigeria. This study aimed to establish the prevalence (i.e., levels) of use of modern health facilities (public and private), for delivery in Nigeria. It also aimed at identifying the socioeconomic and demographic determinants of use of health facility delivery in the country. The study was a cross sectional analyses of the data from the Nigeria Demographic and Health Survey (NDHS) conducted in 2008. The NDHS covers a nationally representative sample of more than 36,000 households based on 2006 Population and Housing Census of the Federal Republic of Nigeria, 2006. The NDHS interviewed 33,385 women aged 15 to 49 years, and 15,486 men aged 15 to 59 years. This study analysed responses from the 17,635 women aged 15-49, who had at least one live birth in the five years preceding the survey. The univariate, bivariate and multivariate analytical techniques were adopted. To estimate the effects of socioeconomic and demographic factors on delivery in health facilities, binary logistic regression analysis was adopted as the multivariate technique. Results show that only 36.7% of deliveries took place in health facilities. Using binary logistic regression analysis, the following variables were significant predictors of use of health facilities for delivery: mother’s age, children ever born, education, region of residence, religion and wealth status. In order to significantly increase the level of use of health facilities for delivery by Nigerian women, and thereby reduce maternal and infant mortality, policies and programs should be well targeted to those identified groups with low utilization of health facilities

Item Type:	Article
Uncontrolled Keywords:	Determinants, Maternal Mortality, Healthcare Facilities Delivery, Nigeria
Subjects:	H Social Sciences > H Social Sciences (General) H Social Sciences > HA Statistics R Medicine > RG Gynecology and obstetrics
Divisions:	Faculty of Law, Arts and Social Sciences > School of Social Sciences
Depositing User:	Mrs Hannah Akinwumi
Date Deposited:	19 Oct 2017 09:41
Last Modified:	19 Oct 2017 09:41
URI:	http://eprints.covenantuniversity.edu.ng/id/eprint/9539

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